IN-MOON IRIS PARK DC
NPI 1023851573
Chiropractor in Taylors, SC
About In-moon Iris Park Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IN-MOON IRIS PARK DC (NPI 1023851573) is an individual chiropractor in Taylors, South Carolina, licensed in South Carolina (SC5052) and active in the NPI registry since June 2024. She is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
In-moon Iris Park Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show In-moon Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Taylors, SC 29687
- Reassigned Medicare billing, South Carolina enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is In-moon Park's NPI number?
The NPI number for In-moon Park is 1023851573. It was assigned to this individual provider in the NPPES registry on June 13, 2024. The provider is also known as Iris Park Dc.
Where is In-moon Park located?
In-moon Park practices at 40 Saint Mark Rd, Taylors, SC 29687. The listed phone number is (864) 283-0600.
What is In-moon Park's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is In-moon Park enrolled in Medicare?
Yes. In-moon Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for In-moon Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), In-moon Park reassigns Medicare benefits to Upper Cervical Spine Center, LLC (Taylors, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for In-moon Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for In-moon Park was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# In-Moon Iris Park, DC · NPI 1023851573
Chiropractor provider in Taylors, South Carolina. Individual provider, active in the CMS NPPES registry since June 13, 2024.
## Identity
- **NPI:** 1023851573 (Entity type: Individual)
- **Enumerated:** June 13, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** SC5052 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 40 SAINT MARK RD, Taylors, SC 29687-5233
- **Phone:** (864) 283-0600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Upper Cervical Spine Center, LLC (NPI 1811260979, Taylors, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1023851573) · Data from the CMS NPPES public registry.